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    OpenPayerNPI Medicare & MedicaidTheodore Jackson
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    Theodore Jackson — Billing Profile & Reimbursement Data

    NPI 1942294376 · Charleston, WV · Plastic Surgery Physician

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    Theodore Jackson is a plastic surgery physician provider located in Charleston, West Virginia. This profile covers 13 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTheodore Jackson
    Address1306 Kanawha Blvd E
    CityCharleston
    StateWV
    ZIP25301
    TaxonomyPlastic Surgery Physician
    NPI EnumeratedAugust 31, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$38.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    64721Neuroplasty or transposition of the median nerve at the carpal tunnel is done to treat a condition called carpal tunnel syndrome (CTS). The carpal tunnel is a narrow tunnel in the wrist through which…50$290$15.2K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…60$80$4.6K
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…20$170$4.1K
    12051This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips, and/or mucous membranes that are 2.5 cm or less in size.30$110$3.1K
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…60$40$2.3K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…30$70$2.2K
    12031This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk, and/or extremities (excluding hands and feet) that are 2.5 cm or less in size.20$70$1.6K
    11602The provider excises a cancerous (malignant) lesion, including margins, of 1.1 to 2.0 cm in diameter, from the skin of the trunk, arms, or legs.10$100$1.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…40$30$1.2K
    12032This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.10$90$1.1K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    6472121030$360$11.2K
    12032293030$170$8.3K
    992132,1522,86080$50$7.5K
    2605531020$240$5.9K
    1203141020$150$3.7K
    1205131020$120$3K
    9920320894030$60$2.8K
    11602233020$90$2.3K
    9921227562030$30$2K
    1164121020$100$1.8K

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Theodore Jackson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Greenbrier Vmc LLCWVGeneral Acute Care Hospital$0$16.3M
    Rainelle Medical Center IncWVFederally Qualified Health Center (FQHC)$0$14.3M
    Mark LeFLDiagnostic Radiology Physician$10.7M$0
    Camc Greenbrier Valley Medical Center IncWVGeneral Acute Care Hospital$0$2.4M
    Carrie FrameWVFoot & Ankle Surgery Podiatrist$1.7M$0
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Camc Greenbrier Valley Medical Center IncWVCardiovascular Disease Physician$0$796.1K
    Charleston Surgical Hospital, LLCWVGeneral Acute Care Hospital$0$793.5K
    Nila AlsheikILDiagnostic Radiology Physician$332.8K$300.3K

    Nearby Providers

    Other providers in the same ZIP code as Theodore Jackson, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Wv Birth To ThreeWVEarly Intervention Provider Agency$0$59.9M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Children's Home Society Of West VirginiaWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$44.1M
    Kanawha County Emergency Ambulance AuthorityWVLand Ambulance$2.3M$31.9M
    Maxim Healthcare Services, Inc.WVHome Health Agency$0$19.9M
    All-aid Services, Inc.WVHome Health Agency$0$16.3M
    The Arc Of The Three Rivers, Inc.WVCase Management Agency$0$15.6M
    Retina Consultants, PLLCWVRetina Specialist (Ophthalmology) Physician$0$13.6M
    Dolan & Kalaskey LtdWVOrthodontics and Dentofacial Orthopedics Dentistry$0$8.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. West Virginia Distribution
    Theodore Jackson — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia